Sample Record

Owner Lab

  • CT D03 - Olivehurst Northern Regional Laboratory

DIME Sample ID 2018-04-06-8

Project Information

Project IdentifiersProject ID: 211588
DEA: 030F3104
EFIS: 0300000078
DIST-CO-RTE-PM03-ED-49-23.6/24.5
Award Date12/12/2016
Closeout Date01/08/2019
Work DescriptionREPLACE BRIDGE.
Location DescriptionEL DORADO COUNTY NEAR COLOMA FROM 0.1 MILE EAST OF MARSHALL ROAD TO 0.3 MILE EAST OF LOTUS ROAD
QA Service Level1 (Verified on 10/19/2016)

Sample Information

Sample Taken Date04/06/2018 Sample Unique Key8
Will the laboratory/organization for which you are a member perform testing on this material sample?Yes Date that the sample was received by the laboratory/organization performing the testing04/09/2018
Sample typeVerification A brief description of the sampleJMF Verification
The quantity of what the sample constitutesJMF Verification From where was the sample collectedSource
First name of sampler or witnessed byShane Last name of sampler or witnessed byPrettyman
Title of samplerUnknown Telephone number of samplerUnknown
Laboratory sample identificationJMF18-002 Linked DIME Sample IDJMF18-002
The fabricator/manufacturer/facility nameGranite Bradshaw Transportation Laboratory (TL) Number790451
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeHot Mix Asphalt HMA TypeRHMA-G
HMA Grading1/2 inch Lot numberNot set
Sublot numberNot set HMA Mix NumberNot set
HMA PayNo

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments